All citations for Sundance Creek Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Sundance Creek Post Acute

Last standard health inspection on record

November 24, 2025

Showing 26 to 34 of 34 citations

No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 24, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 24, 2022).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0161, Construction Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0521, Services Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 4, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.